Individual provider Active NPI

Emilie Camille Ryann Sommers, TLMHC

  • Mental Health Counselor
  • Hiawatha, IA
National Provider Identifier
1295407393
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
108953 Issued in IA
Practice address
1811 Boyson Rd Ste a
Hiawatha, IA 52233-1270
Phone
(319) 250-1267
NPI assigned
Sep 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 108953 IA Primary

Addresses

Primary practice location

1811 Boyson Rd Ste a
Hiawatha, IA 52233-1270

Mailing address

1811 Boyson Rd Ste a
Hiawatha, IA 52233-1270
Phone (319) 250-1267

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
108953IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Murray, Wilson & Rose Counseling and Behavioral Services Mental Health CurrentSince Mar 26, 2023 Accepting new patients

Locations

1811 Boyson Rd
Ste A
Hiawatha, IA 52233
Phone (319) 250-1267

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1295407393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 BOYSON RD STE A",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522331270",
            "telephone_number": "319-250-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 BOYSON RD STE A",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522331270",
            "telephone_number": "319-250-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMMERS",
        "first_name": "EMILIE",
        "middle_name": "CAMILLE RYANN",
        "credential": "TLMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "108953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiawatha, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.